June 2010

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From the President

Reflections on Home Visiting

By Phyllis J. Sloyer, RN, PhD, FAHM, FAAP 

The appropriated dollars for home visiting are probably the largest increase the Title V program has received since its inception. It is remarkable that very little attention was given to it as national health reform legislation moved to a final bill for signature by President Obama. While novices may think this is a strong statement about preventive health services and early intervention services for young children, it is in fact another evolution of home visiting since the formation of the United States. I expect that you will learn a lot about this initiative in this issue of Pulse. Therefore, I am not going to reiterate the provisions of the legislation, but rather trace the origins of home visiting so that you recognize the cyclical and incremental nature of public policy. [read more]

From the CEO

Back to the Future

By Mike R. Fraser, PhD       

One of my favorite movies of the early 1980s is “Back to the Future.” I think most of you know the story in which Michael J. Fox’s character Marty McFly is transported to the past via an extraordinarily complicated and ridiculously tricked-out DeLorean created by the crazy Dr. Emmett Brown. Hilarious antics follow but the irony of the movie’s title is another key part of the movie. I have been thinking about the notion of “going back to the future” a lot lately. Last month I presented at the inaugural MCH Public Health Leadership Institute in Chapel Hill, N.C. I was asked to speak on the “future of MCH” and had a great time putting that presentation together and talking with a group of talented MCH leaders about the various trends and issues we can anticipate influencing MCH practice in the future. An important part of my presentation had to do with going “back to the future” – meaning the things that were part of MCH practice in the past are things that I think we will carry with us into the future, and in fact, in the future we may need to do more of them. 

[read more]


Title V Partnerships are Key to Implementation

By Kay Johnson
Johnson Group Consulting 

Over the past 20 years, the field of home visiting has expanded dramatically. In the absence of a federal program dedicated to home visiting, states and communities have led the way. As of 2008, state-based home visiting programs were reported by 40 states, representing 70 distinct programs. Most states described one or two state-based home visiting programs. Five states had three or more programs. An estimated 3,000 or more local sites exist. At the same time, the home visiting field has been divided due to disagreements over models, tensions between researchers and practitioners, and lack of a federal policy and finance anchor. [read more]

Florida’s Home Visiting Coalition

By Annette Phelps, ARNP, MSN
Division Director for Family Health Services
Division of Family Health Services
Florida Department of Health

Carol Scoggins, MS
Program Administrator, Maternal and Child Health
Infant, Maternal and Reproductive Health
Bureau of Family and Community Health

Kris-Tena Albers, CNM, MN
Executive Community Health Nursing Director
Infant, Maternal and Reproductive Health
Bureau of Family and Community Health

Florida’s Home Visiting Coalition shares a passion for and commitment to improving the well-being of Florida’s families and their children. The Coalition members recognize home visiting as a critical service delivery strategy and research-based approach for building trusting relationships with parents and other caregivers with the knowledge, skills and tools to assist their children in being healthy, safe and ready to succeed in school. The Coalition is committed to maintaining an on-going, direct and honest dialogue and improved communication among programs to ensure collaboration and coordination and an integrated system of care. Family Health Services, Florida Department of Health is a member of the Coalition’s Steering Committee. [read more]

Hawaii Healthy Start Program

By Loretta J. Fuddy, A.C.S.W., M.P.H.
Chief, Family Health Services Division
State of Hawaii
Department of Health

Cindy Hirai, MSW
Healthy Start Program Manager

Helene Kaiwi, MSW
Community & Family Support Section Supervisor 

The Hawaii Healthy Start (HHS) home visiting program is administered through the State Department of Health’s Title V program within the Family Health Services Division, (FHSD), Maternal and Child Health Branch (MCHB). HHS began as a demonstration project in 1985 and expanded statewide in 2001. The program included universal screenings and assessments for at risk families in all civilian birthing hospitals. Throughout its 25 year history, HHS has conducted rigorous program evaluations and has made several revisions to the program design to improve child and family outcomes. [read more

Louisiana’s Nurse-Family Partnership Program

By Cynthia Suire, MSN, RN
Louisiana Nurse-Family Partnership Program Manager
Louisiana Office of Public Health Maternal and Child Health Program

The Nurse-Family Partnership (NFP) program is an evidence-based, nurse home visitation program designed to serve low income, first-time pregnant mothers and their babies. The intervention begins in early pregnancy and continues until the first child reaches two years of age, providing frequent, intensive home visiting services. NFP uses experienced, highly trained registered nurses to guide and educate first time parents to achieve three important goals: (1) healthy pregnancy outcomes, (2) healthy infant/toddler growth and development, and (3) self-sufficient, healthy families. Experienced, registered nurses are critical to the successful delivery of NFP, as women have many questions and concerns about their health and the baby's health. [read more

Missouri’s Home Visiting Programs

By Melinda Sanders
Section Administrator, Section for Healthy Families and Youth
Missouri Department of Health and Senior Services

Dr. Sharmini V. Rogers, MBBS, MPH, Chief
Bureau of Genetics and Healthy Childhood
Section for Healthy Families and Youth

Karen Schenk, RN. BS
Public Health Consultant Nurse

The Missouri Department of Health and Senior Services offers two types of home visiting programs that serve low-income women both prenatally and post partum, along with their index infant(s), who have been identified as ”at-risk” for poor pregnancy and infant health outcomes and/or child abuse and neglect. These women are considered to be “at-risk” due to socioeconomic status, education level, age or prior history. Both programs follow these women and children up to age 2. The programs’ goals are to assist the women improve their health-related behaviors; assist/teach parents to provide more responsible care for their children; and improve the family’s economic self-sufficiency by helping parents develop a vision for their own future. [read more]

Real Life Story

Making a Difference: Q & A with a Nurse Home Visitor and a Graduate Client of the Louisiana Nurse-Family Partnership Program

Katherine C. Molbert, RN, known to her clients as Miss. Kathy, has been a nurse for more than 25 years and a home visitor with the Nurse Family Partnership (NFP) for 6 and a half years. Lutricia and her daughter Daria from New Iberia, La., participated in the Nurse Family Partnership program from 2005 to 2007. Please read on to learn more about Ms. Kathy, Lutricia and Daria and how the NFP program brought them into each other’s lives. [read more]



BREAKING NEWS: On June 10, HHS released the Initial Funding Announcement of $90 million in Affordable Care Act Funding for Maternal, Infant and Childhood Home Visiting Program Grants. More information is available here, and stay tuned for additional updates from AMCHP.

View from Washington

Home Visiting – How did We Get Here and Where are We Going?

By Brent Ewig, MHS
Director of Public Policy & Government Affairs, AMCHP    

On March 23, 2010, President Obama signed into law the Patient Protection and Affordable Care Act. As we’ve reported what seems like constantly over the past two years, this law creates a Maternal, Infant, and Early Childhood Home Visiting Programs that will for the first time provide a dedicated federal funding stream to support the expansion of home visiting programs. 

Created as a new section in the Title V statute, this provision represents one of the most exciting and significant changes to the program – and just in time to coincide with our 75th Anniversary of Title V. With a strong focus on expanding evidence-based models, the law will provide $1.5 billion in mandatory funding to states over the next five years. Now the action turns to the states to begin the crucial work on implementation.  [read more] 


Who's New

New MCH Leaders

See who are the new MCH leaders! [read more]


Get Involved

AMCHP to Host a Two-Part Webinar on How to Collaborate to Improve School-Based Health in Youth
The webinar, “Leveraging the Expertise and Experience of Health and Education Departments to Collaboratively Improve School-Based Sexual Health Programs for Youth,” to convene on June 23 from 2 to 3:30 p.m. (EDT), will focus on national and state-level experiences and perspectives related to how state health and education departments have effectively worked together to improve programs and policies for youth.  The esteemed speakers will share their experiences and lessons learned from working with the public health and education communities and provide strategies and tools for helping to build more effective partnerships to improve school-based sexual health programs for youth. [read more]

Call for Proposals
The Association of University Centers on Disabilities (AUCD) is seeking concurrent sessions, poster presentations, and films for the media room for its 2010 AUCD Annual Meeting and Conference. Proposals will be accepted through June 28 on a wide variety of topics, including Systems-level Implementation, Demonstration and Evaluation. [read more]

MCHB’s Customer Satisfaction Survey of its Resource Centers
The Health Resources and Services Administration’s Maternal and Child Health Bureau (MCHB) is conducting a Customer Satisfaction Survey of its Resource Centers. MCHB provides funding for the Maternal and Child Health Library. The goal is to use the feedback to help improve the quality of their Resource Centers’ services and learn how they can serve you better. The survey will take approximately 10 minutes to complete. CFI Group, an independent research and consulting firm, is conducting this survey for MCHB. The survey is hosted via a secure server and your participation will remain anonymous. If you have any technical questions or issues while taking the survey, please contact MCHBsurvey@mail.cfigroup.com. [read more]

Data and Trends

See data on state-based home visiting programs.



View and download resources on home visiting programs. [read more]


Board of Directors

Meet AMCHP's Board of Directors



Meet AMCHP's staff.


AMCHP Special Events

MCHB 75th Anniversary of Title V Commemoration
October 20
Washington DC 

Looking to the Future: What are the Opportunities and Challenges of Health Reform for Improving Maternal and Child Health?
October 21
Washington, DC  

AMCHP 2011 Annual Conference
February 12-15, 2011
Washington, DC


More MCH Events 

Summit: Substance Exposed Newborns
June 23-24
Alexandria, VA 

Advisory Committee on Immunization Practices (ACIP) Meeting
June 23-24
Atlanta, GA 

18th Annual Health Forum and American Hospital Association Leadership Summit
July 22-24
San Diego, CA 

Fourth Annual National Conference on Health Communication, Marketing, and Media
August 17-19
Atlanta, GA  

CityMatCH Urban MCH Leadership Conference
September 11–14
Chicago, IL 

AHRQ’s 2010 Annual Conference
September 27-29
Bethesda, MD 

2010 AUCD Conference
October 30-November 3
Crystal City, VA